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Maximal voluntary contraction as a functional indicator of adult chronic undernutrition

Published online by Cambridge University Press:  09 March 2007

M. Vaz ,
S. Thangam ,
A. Prabhu  and
P.S. Shetty†
M. Vaz
Affiliation:
Nutrition Research Centre, Department of Physiology, St. John's Medical College, Bangalore, India
S. Thangam
Affiliation:
Nutrition Research Centre, Department of Physiology, St. John's Medical College, Bangalore, India
A. Prabhu
Affiliation:
Nutrition Research Centre, Department of Physiology, St. John's Medical College, Bangalore, India
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Abstract

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Maximal voluntary contraction (MVC) using a handgrip dynamometer was assessed in seventy-two young adult males. The subjects were divided into two groups on the basis of a BMI of 18·5 kg/m2. The subjects with a BMI < 18·5 kg/m2 (n 38) were further divided into an underweight (UW;n 20) group and a chronically energy-deficient (CED; n 18) group. The CED subjects had significantly lower MVC (30·1, SD 5·9 kg) than either the well-nourished controls (BMI > 18·5 kg/m2: 39·8, SD 5·8 kg) or the underweight group (37·6, SD 4·9 kg). The differences between the CED and UW groups persisted even after the MVC were corrected for forearm muscle area and stature. The results suggest that MVC may be a useful functional indicator of nutritional status particularly in differentiating subjects with chronic undernutrition from individuals who are underweight and not undernourished but have similar BMI.

Keywords

Body mass indexChronic energy deficiencyHandgrip dynamometryMaximal voluntary contraction
Type
Human and Clinical Nutrition
Information
British Journal of Nutrition , Volume 76 , Issue 1 , July 1996 , pp. 9 - 15
Copyright
Copyright © The Nutrition Society 1996

References

REFERENCES

Abraham, S., Johnson, C. L. & Najjar, M. F. (1979). Weight by Height and Age for Adults 18–74 Years. National Centre for Health Statistics. DHEW Publication no. (PHS) 79–1656. Washington, DC: Department of Health, Education and Welfare.Google Scholar
Brozek, J. (1984). The assessment of motor function in adults. In Malnutrition and Behaviour: Assessment of Key Issues. Nestlé Foundation Publication Series vol. 4, pp. 268–279 [Brozek, J. and Schurch, B., editors]. Lausanne: Nest1é Foundation.Google Scholar
Durnin, J. V. G. A. & Womersley, J. (1974). Body fat assessed from total body density and its estimation from skinfold thicknesses: measurements on 481 men and women aged 16 to 72 years. British Journal of Nutrition 32, 77–97.CrossRefGoogle ScholarPubMed
Fernandez, I. S., Kurpad, A. V., Kilpadi, A. B. & Shetty, P. S. (1993). Resting energy expenditure and nitrogen losses after surgery in chronically undernourished patients. World Journal of Surgery 17, 80–84.CrossRefGoogle Scholar
Ferro-Luzzi, A., Sette, S., Franklin, M. & James, W. P. T. (1992). A simplified approach of assessing adult chronic energy deficiency. European Journal of Clinical Nutrition 46, 173–176.Google ScholarPubMed
Ghesquiere, J. & Eekels, R. (1984). Fitness of children in Kinshasa. In Children and Sport, pp. 110–127 [Ilmarinen, J. and Valimaki, I., editors]. Berlin: Springer Verlag.Google Scholar
Hakkinen, K., Alen, M. & Komi, P. V. (1985). Changes in isometric force and relaxation-time, electromyographic and muscle fibre characteristics of human skeletal muscle during strength training and detraining. Acta Physiologica Scandinavica 125, 573–585.CrossRefGoogle ScholarPubMed
Heymsfield, S. B., McManus, C., Smith, J., Stevens, V. & Nixon, D. W. (1982). Anthropometric measurement of muscle mass: revised equations for calculating bone-free arm muscle area. American Journal of Clinical Nutrition 36, 680–690.CrossRefGoogle ScholarPubMed
Heymsfield, S. B., Olafson, R. P., Kunter, M. H. & Nixon, D. W. (1979). A radiographic method for quantifying protein-calorie malnutrition. American Journal of Clinical Nutrition 32, 693–702.CrossRefGoogle Scholar
James, W. P. T., Ferro-Luzzi, A. & Waterlow, J. C. (1988). Definition of chronic energy deficiency in adults. Report of a working party of the international dietary energy consultative group. European Journal of Clinical Nutrition 42, 969–981.Google ScholarPubMed
Jayarajan, M. P. & Shetty, P. S. (1987). Vascular B-adrenoceptor sensitivity of undernourished subjects. British Journal of Nutrition 58, 5–11.CrossRefGoogle Scholar
Klidjian, A. M., Archer, T. J., Foster, K. J. & Karran, S. J. (1982). Detection of dangerous malnutrition. Journal of Parenteral and Enteral Nutrition 6, 119–121.CrossRefGoogle ScholarPubMed
Klidjian, A. M., Foster, K. J., Kammerling, R. M., Cooper, A. & Karran, S. J. (1980). Relation of anthropometric and dynamometric variables to serious post-operative complications. British Medical Journal 281, 899–901.CrossRefGoogle Scholar
Krishnaswamy, K. (1978). Nutrition and drug metabolism. Indian Journal of Medical Research 68, 109–120.Google ScholarPubMed
Kulkarni, R. N., Kurpad, A. V. & Shetty, P. S. (1988). Vascular adrenoceptor sensitivity to graded doses of norepinephrine infusions in undernourished subjects. Indian Journal of Medical Research 88, 427–433.Google ScholarPubMed
Kuppuswamy, B. (1984). Socio-economic Status Scale (Urban). Delhi: Manasayan.Google Scholar
Kurpad, A. V., Kulkami, R. N., Sheela, M. L. & Shetty, P. S. (1989a). Thermogenic responses to graded doses of noradrenaline in undernourished Indian male subjects. British Journal of Nutrition 61, 201–208.CrossRefGoogle ScholarPubMed
Kurpad, A. V., Kulkami, R. N. & Shetty, P. S. (1989 b). Reduced thermoregulatory thermogenesis in undernutrition. European Journal of Clinical Nutrition 43, 27–33.Google ScholarPubMed
Lambert, O. (1965). The relationship between maximum isometric strength and maximum concentric strength at different speeds. International Federation of Physical Eduction Bulletin 35, 13–21.Google Scholar
Larsson, L. & Karlson, J. (1978). Isometric and dynamic endurance as a function of age and skeletal muscle characteristics. Acta Physiologica Scandinavia 104, 129–136.CrossRefGoogle ScholarPubMed
Lopes, J., Russell, D McR., Whitwell, J. & Jeejeebhoy, K. N. (1982). Skeletal muscle function in malnutrition. American Journal of Clinical Nutrition 36, 602–610.CrossRefGoogle ScholarPubMed
Nicks, D. C. & Fleishman, E. A. (1962). What does physical fitness measure. A review of factor analytic studies. Eductions and Psychological Measurement 22, 77–95.CrossRefGoogle Scholar
Pareek, U. & Trivedi, G. (1964). Manual of Socio-Economic Status Scale (Rural). Delhi: Manasayan.Google Scholar
Reed, T., Fabsitz, R. R., Selby, J. V. & Carmelli, D. (1991). Genetic influences and grip strength norms in the NHLBI twin study males aged 59–69. Annals of Human Biology 18, 425–432.CrossRefGoogle ScholarPubMed
Russell, D. McR.Leiter, L. A., Whitwell, J., Marliss, E. B. & Jeejeebhoy, K. N. (1983 a). Skeletal muscle function during hypocaloric diets and fasting: a comparison with standard nutritional assessment parameters. American Journal of Clinical Nutrition 37, 133–138.CrossRefGoogle Scholar
Russell, D. McR.Pendergast, P. J., Darby, P. I., Garfinkel, P. E., Whitwell, J. & Jeejeebhoy, K. N. (1983 b). A comparison between muscle function and body composition in anorexia nervosa: the effect of refeeding. American Journal of Clinical Nutrition 38, 229–231.CrossRefGoogle ScholarPubMed
Shetty, P. S. & James, W. P. T. (1994). Body Mass Index: A Measure of Chronic Energy Deficiency in Adults. FAO Food and Nutrition Paper. Rome: FAO.Google ScholarPubMed
Soares, M. J. & Shetty, P. S. (1991). Basal metabolic rates and metabolic economy in chronic undernutrition. European Journal of Clinical Nutrition 45, 363–373.Google ScholarPubMed
Vaz, M., Jayarajan, M. P., Kulkarni, R. N., Balasubramanyam, A. & Shetty, P. S. (1992). Parasympathetic tone in chronic energy deficient human subjects. Nutrition Research 12, 613–620.CrossRefGoogle Scholar
Waterlow, J. C. (1988). Observations on the variability of man. In Comparative Nutrition, pp. 130–140 [Blaxter, K. L. and Macdonald, I. A., editors]. London: John Libbey.Google Scholar